Exam 9: No Mission, No Margin: Fiscal Responsibility

Changes in Medicaid standards mean that they must decide how to allocate their limited resources and serve their state's needs. This issue creates an ethics issue related to _____.

What is the term that describes when employers collect insurance premiums, pool resources, and pay claims?

The accountable care organization (ACO) was created to control costs and improve access to care. ACOs receive incentives for _____ .

If you code visits by profit and not by diagnosis, you can engage in an unethical practice called ______.

Healthcare providers can control demand for services through _____..

An administrator is leading the downsizing process for his organization. This decision will lead to complete and permanent shutdown of the facility. His initial ethics duty for staff members is _____.

Not-for-profit organizations have a duty to generate revenue and use that revenue for community benefit. The basis for this duty is in _____.